Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
Stephen’s Provider Services, LLC provides dependable non-medical in-home care to individuals and families throughout Fort Bend County, Texas. We are committed to delivering high-quality, compassionate support that helps...
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Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
At Shepherd’s Touch Home Care LLC, we believe compassionate care feels like a guiding hand. Our caring caregivers provide warm, individualized assistance—from daily living support to soothing companionship and...
The Best Houston Offers: Love, Experience, and Joy in In-Home Non-Medical Care Families also find peace of mind knowing their loved ones are in capable and caring hands. Reliable communication, personalized care plans,...
At Home Instead we have come together as a group of dedicated professionals to deliver an exceptional home care solution that meets your needs. Our trained, screened and bonded CAREGivers serve your family's senior loved...
Your care needs deserve the best. Brookdale at Home is an in-home services agency with decades of experience providing care at home that’s designed to help you retain your independence longer.
Illiana's Angel Healthcare, Compassionate In-Home Care Services At Illiana's Angel Healthcare, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
The “We are CARE” philosophy is a commitment to our core values of being Compassionate, Accountable, Respectful, and Ethical. These values are incorporated into every interaction A Place At Home has with the families we...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
At Griswold Home Care of West Houston, we know how hard it can be to care for aging and/or disabled family members. With our assistance, you will not have to do everything alone. With empathy and compassion, our...
CareCo offers a variety of services to meet each individual client where they need care the most. Our services are designed to supplement family support and medical care, providing comprehensive care coverage to our clients.
We work closely with families to create customized care plans that meet each client's unique needs, providing peace of mind and exceptional care every step of the way.
Herewith, Inc. is a nationwide platform connecting families with caregivers for in-home non-medical assistance. In Texas, they offer flexible senior care services through a network of "Caregivers" who assist with tasks...
St. Anthony Care Services is committed to providing compassionate, reliable, and personalized home care that supports individuals in living safely and comfortably in their own homes. Our trained caregivers offer...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable in Katy, Houston, and surrounding areas. Our trusted Katy staff can’t wait to meet your loved one. We want to know...
Ace Healthcare Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comcare Health Services LLC is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Fortune Home Health Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to provide compassionate, high-quality home care that supports dignity, independence, and comfort, while giving families peace of mind and confidence in their loved one’s care.
Anis Healthcare Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cottage Health Care Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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transforming Care, Enhancing Lives: Welcome to Banner Home Care Services, where compassion meets expertise. With a dedicated team of caregivers, nurses, and professionals, we provide unparalleled support tailored to meet...
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ALPHA RESOURCEFUL CARE LLC of Sugar Land, TX is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ccc Health Care Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Our home care agency provides compassionate, professional care tailored to the unique needs of each client in the comfort of their own home. We specialize in a range of services, including personal care, companionship,...
Consolidated Home Health is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Keepers of Sugar Land, TX is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Contact Care Health Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BEC HEALTHCARE SERVICES, INC is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
You want only the best for those you love. Your priorities are to meet their needs and insure their health and safety. What if your job, personal obligations or geographical distance makes this priority an...
Gablink Medical Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Daystar Professional Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Excel Nursing Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In Your Home Care provides a unique community-based service that assists our clients and allows them to remain safe and independent in their own homes or apartments. We are committed to providing quality, ethical and...
Fortune Home Health Inc, Compassionate In-Home Care Services At Fortune Home Health Inc, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence....
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
Whether for temporary purposes or permanent needs, the care of loved ones is the top priority. If you’re struggling to find the best fit for someone in your family that could benefit from home care, you’re not alone. And...
Healthpoint Home Health and Infusion Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Griswold Home Care of Southwest Houston looks forward to providing you with caregivers who can assist your families with the attention, compassion and care that you deserve. Services offered by our caregivers include...
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
CareWorks is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When we started Modern Vintage, our goal was simple - to improve the overall quality of senior care. We built our business on core values such as communication, reliability and, most importantly, consistent compassionate...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals of all ages. Whether you need daily care, night care or weekly assistance due to aging, illness,...
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One of our advisors will contact you soon to connect you with trusted sources for care in your area.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.